challenging time for Hospitals

CB19Kevo · 03-01-2017 08:09PM #1

Mr. Harris believes it to be a challenging time for hospitals, Yes that would probably be one way to describe it, He did however reject that the situation of 612 patients in trolleys today was entirely predictable.

Well maybe the following clues may have pointed him and hes cabinet to that conclusion.

Not enough nurses,carers and doctors for years - Check
Reduced bed capacity due to closed wards - Check
Increased calls to a under resourced ambulance service - Check
Winter is cold - Check

I aint good with them ol books reding but even i could see a storm brewing.

A DISGRACE,UTTER UTTER DISGRACE.
For young and old to lay on trolleys for hours and hours on end in hospital corridors or waiting to be unloaded from ambulances.
About time politicians admit the clusterf&&k and get dealing with it.:mad::mad::mad::mad:

Tom Mann Centuria · 03-01-2017 08:11PM

It's actually days on corridors, not just hours, but you're quite right otherwise.

snubbleste · 03-01-2017 08:18PM

Don't forget the increase in population and particularly inward migration putting pressure on resources

newacc2015 · 03-01-2017 08:19PM

CB19Kevo wrote: »

ould see a storm brewing.

A DISGRACE,UTTER UTTER DISGRACE.
For young and old to lay on trolleys for hours and hours on end in hospital corridors or waiting to be unloaded from ambulances.
About time politicians admit the clusterf&&k and get dealing with it.:mad::mad::mad::mad:

I guarantee if you went to the Mater or James tonight to A&E that it would be full of junkies and alcos. I would imagine every A&E tonight is full of people who could have gone to their GP or call a 24/7 Doctor. But since a lot have medical cards, they arent bothered as its going to cost them to go to A&E.

The real solution to a lot of the overcrowding in hospital is actually charge people for using it. I had a sick relative in hospital and there was an old man who was discharged but refused to go home. He took up a bed for an additional 5 days as he didnt want to go home. What is a TD supposed to do about that? The HSE legal team developed a plan to get people who were discharged out of the hospital and into their home. But there was outrage about it.

People dont respect a free service in Ireland. I dont see how people think a hospital is unique to this. If you were to charge everyone in A&E with a medical card a small fee of say €30 (I know it is sizeable to some, but tiny in comparison to the cost of the service) I guarantee A&E would be pretty empty around the country. There would be no junkies using it as a late night cafe or people who weren't arsed waiting for a GP on call.

Atlantic Dawn · 03-01-2017 08:21PM

People not being fooked out of the bed they are hogging when they are fine to go home - Check.

Tom Mann Centuria · 03-01-2017 08:24PM

Atlantic Dawn wrote: »

People not being fooked out of the bed they are hogging when they are fine to go home - Check.

People's relatives can no longer cope with their care needs because their carer hours have been cut - check

No nursing home beds to put patients in when they are fine to be discharged - check

mansize · 03-01-2017 08:30PM

snubbleste wrote: »

Don't forget the increase in population and particularly inward migration putting pressure on resources

Blaming the forrinders- check

andekwarhola · 03-01-2017 08:31PM

Check.

Stheno · 03-01-2017 08:32PM

We have the highest spending on health in the Eu along with one of the highest amounts of nurses per capita but less than average the amount of doctors and beds

http://www.finfacts.ie/Irish_finance_news/articleDetail.php?Ireland-second-highest-OECD-health-spending-poorest-outcomes-506

jay1988 · 03-01-2017 08:35PM

mansize wrote: »

Blaming the forrinders- check

He has a point though, inward migration plus an increasing native population would be a reason for extra pressure on any services.

But don't let that get in the way of getting a dig in, well done.

Ted111 · 03-01-2017 08:35PM

No respect for capitilisation - Check.

mansize · 03-01-2017 08:39PM

jay1988 wrote: »

He has a point though, inward migration plus an increasing native population would be a reason for extra pressure on any services.

But don't let that get in the way of getting a dig in, well done.

Particularly inward migration? Why particularly?

My understanding is the opposite is the case, immigrants use our health services less

SEPT 23 1989 · 03-01-2017 08:39PM

Break up the HSE and bring the nuns back

Tom Mann Centuria · 03-01-2017 08:48PM

Stheno wrote: »

We have the highest spending on health in the Eu along with one of the highest amounts of nurses per capita but less than average the amount of doctors and beds

http://www.finfacts.ie/Irish_finance_news/articleDetail.php?Ireland-second-highest-OECD-health-spending-poorest-outcomes-506

If you become a manager in the NHS, that is no longer clinical, with zero patient care, you are a manager. If you do the same in Ireland you are still a nurse, and counted as such. This not only scews nursing numbers, but also average wage stats for nurses.

On the wider subject, flu this year is rampant in Irish hospitals putting enormous strain on the already struggling health service.

myshirt · 03-01-2017 08:52PM

Newacc2015 - you are onto something there, definitely spare capacity that can be freed up there.

However, it is a delicate game. You are trying not to cut off people from the service, while also ensuring the service is not abused.

A nominal fee, similar to charges in pharmacies, or the plastic bag charge, should definitely come in, i.e a charge to encourage a type of behaviour, but at the same time not break someone.

Look at the NHS in the UK, it is up to a month to get a hold of a GP, and the GPs themselves will tell you that a certain amount don't need to be there.

Beasty · 03-01-2017 08:53PM

snubbleste wrote: »

Don't forget the increase in population and particularly inward migration putting pressure on resources

I'm one of those immigrants. Am I putting pressure on resources? Well actually my employer pays over 10 grand a year for my (and my family's) private health insurance. I also reckon I've paid significantly more tax in Ireland than the average "native" pays in a lifetime. That's on top of the boost to the economy my own employment brings. Most immigrants come here to earn a living and are net contributors to the economy

Boggy Turf · 03-01-2017 08:55PM

Having worked with the HSE, you would not believe the level of waste and bureaucracy within the "organisation". The levels of zero value add middle management boggles the mind. The unions block any reform but the only solution is widespread redundancies for excessive back office staff and rebuild the system from scratch. There are also many vested interests with political connections e.g I saw tens of millions wasted on renting portacabins at exorbitant prices where they could have built extensions or new buildings for fractions of the cost. It wont happen.

mansize · 03-01-2017 08:56PM

SEPT 23 1989 wrote: »

Break up the HSE and bring the nuns back

They just bury the sick babies and sell the healthy ones

ytpe2r5bxkn0c1 · 03-01-2017 08:57PM

Boggy Turf wrote: »

Having worked with the HSE, you would not believe the level of waste and bureaucracy within the "organisation". The levels of zero value add middle management boggles the mind. The unions block any reform but the only solution is widespread redundancies for excessive back office staff and rebuild the system from scratch. There are also many vested interests with political connections e.g I saw millions wasted on renting portacabins at exorbitant prices where they could have built extensions or new buildings for fractions of the cost. It wont happen.

I think you'll find most people are full aware of it.

Atlantic Dawn · 03-01-2017 08:57PM

Tom Mann Centuria wrote: »

People's relatives can no longer cope with their care needs because their carer hours have been cut - check

No nursing home beds to put patients in when they are fine to be discharged - check

The hospital bed is no place for them, government should have a much lower cost halfway house to put them in rather than the €1000 a day plus hospital bed.

SEPT 23 1989 · 03-01-2017 08:59PM

mansize wrote: »

They just bury the sick babies and sell the healthy ones

They ran a tight ship alright

Kristopherus · 03-01-2017 08:59PM

Tom Mann Centuria wrote: »

People's relatives can no longer cope with their care needs because their carer hours have been cut - check

No nursing home beds to put patients in when they are fine to be discharged - check

Plenty of private nursing home beds available -check.

ChikiChiki · 03-01-2017 09:01PM

CB19Kevo wrote: »

Mr. Harris believes it to be a challenging time for hospitals, Yes that would probably be one way to describe it, He did however reject that the situation of 612 patients in trolleys today was entirely predictable.

Well maybe the following clues may have pointed him and hes cabinet to that conclusion.

Not enough nurses,carers and doctors for years - Check
Reduced bed capacity due to closed wards - Check
Increased calls to a under resourced ambulance service - Check
Winter is cold - Check

I aint good with them ol books reding but even i could see a storm brewing.

A DISGRACE,UTTER UTTER DISGRACE.
For young and old to lay on trolleys for hours and hours on end in hospital corridors or waiting to be unloaded from ambulances.
About time politicians admit the clusterf&&k and get dealing with it.:mad::mad::mad::mad:

This exact time of year every year the same problem occurs with trollies. It would make you wonder about the competence of our ministers. They are like rabbits caught in headlights even though the issue is so predictable.

jay1988 · 03-01-2017 09:19PM

mansize wrote: »

Particularly inward migration? Why particularly?

My understanding is the opposite is the case, immigrants use our health services less

Did anyone say particularly inward migration?

No they didn't, one poster added that to all the other reasons posted above him.

Nice try on pushing your agenda though.

KKkitty · 03-01-2017 09:29PM

The top people getting paid too much for doing less hours and less work than nurses and more important staff that are actually dealing with patients personally - Check.

It's 4 years since I broke my wrist. I went to my GP, sent then to the nearest hospital and then because it was near the weekend I had to wait til the following Monday to go to another hospital that deals much more with bone injuries. Nobody should be put on a trolley in a corridor. There's no privacy and no sense in it. Utterly demeaning on patients across the country.

markpb · 03-01-2017 09:30PM

Beasty wrote:

I'm one of those immigrants. Am I putting pressure on resources?

The poster said that migration puts additional pressure on the health system. This is undeniably true, it takes the/most government a long time to react to change so an increase in the population will not be catered for until some time has passed. This is not a reflection of immigrants, it's not a criticism, it's just a statement of fact.

Atoms for Peace · 03-01-2017 09:34PM

There should be limit placed on free visits for medical card holders, under six's etc. unless they have a valid medical condition.

griffin100 · 03-01-2017 09:39PM

Thank god we have Liam Doran and his nurses to rescue us by threatening to go on strike. Imagine how poor the HSE would be if we'd no unions to protect our interests. God bless them all.

Beasty · 03-01-2017 09:43PM

markpb wrote: »

The poster said that migration puts additional pressure on the health system. This is undeniably true, it takes the/most government a long time to react to change so an increase in the population will not be catered for until some time has passed. This is not a reflection of immigrants, it's not a criticism, it's just a statement of fact.

I don't deny they use the system which invariably results in more immediate pressure. However their contributions to society in general and the wider economy is a major part of the solution. Ireland is fortunate it has a relatively young population which is being supplemented by immigration. It means there will be more people around to fund the pensions of many of those currently in work as well as their healthcare needs. Ireland is also fortunate in that it has plenty of scope to allow more immigration, subject to sorting out the housing policy, given its vast expanses of land not currently populated. Arguably Ireland is better placed than any other EU country to grow economically and sustain an ageing population based on an increasing workforce supplemented by immigration.

None of that deals with the immediate healthcare issues, but bodes well for the future assuming the country does not yet again succumb to short-termism in the way it does manage the economy.

Dr Crayfish · 03-01-2017 09:53PM

You can't blame immigrants and junkies/med card holders at the same time. Immigrants tend to work and pay tax, people from certain areas of Dublin haven't paid tax for generations, their net contribution to our society is quite negative.

mansize · 03-01-2017 11:12PM

snubbleste wrote: »

Don't forget the increase in population and particularly inward migration putting pressure on resources

Looks like particularly inward migration was said...

challenging time for Hospitals

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